Individual provider Active NPI

Bernadette M Grandieri, CCC-SLP

  • Speech-Language Pathologist
  • Wallingford, PA
National Provider Identifier
1083124283
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL013601 Issued in PA
Practice address
501 Plush Mill Rd
Wallingford, PA 19086-6040
Phone
(724) 471-2942
Fax
(724) 801-8147
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL013601 PA Primary

Addresses

Primary practice location

501 Plush Mill Rd
Wallingford, PA 19086-6040

Mailing address

921 Country LN
Indiana, PA 15701-9744
Phone (724) 471-2942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171116000938 PA Practitioner - Qualified Speech Language Pathologist 3375809841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Care Health Specialists LLCGroup PAC ID 3375774045, 34 clinicians

Practice addresses (Care Compare)

900 N Atwater Dr
Malvern, PA 19355-0078
Phone (855) 657-8723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SL013601PAMDSpeech-Language Pathologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083124283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 COUNTRY LN",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157019744",
            "telephone_number": "724-471-2942",
            "fax_number": "721-801-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PLUSH MILL RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866040",
            "telephone_number": "724-471-2942",
            "fax_number": "724-801-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDIERI",
        "first_name": "BERNADETTE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.